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Fifteen plus years into the 'emotional turn' in the study of contentious politics, the question is no longer 'do emotions matter' but rather 'do emotions ever not matter?' Or, stated positively, can we grasp the phenomena that we group together under the name of collective political action without paying attention to feelings, emotions, affect? As others have argued, the factors that social movement scholars deem important for mobilisation-e.g. political opportunities, organisations, frames-have force precisely because of the feelings that they elicit, stir up, amplify, or dampen. We turn towards emotion, then, in order to understand the workings of the key concepts in the field. In addition, we need to explore feelings because they often are a primary catalyst or hindrance to political mobilisation, attenuating the role of other factors. Then there are the many other aspects of collective political action, beyond the question of mobilisation per se, where emotions play important roles, from ideological struggles to alliance formation to activist rituals to collective identity formation to community building. So, again, are emotions ever unimportant, are they ever a simply trivial aspect of what happens in and around contentious politics? Historians of emotion might take the argument further. If, as Rosenwein argues, 'emotions are about things judged important to us', 2 if emotions are indications of what matters, of what is valued and devalued, how can scholars interested in any aspect of social life not consider emotions?

© 2014 Cambridge University Press. Fifteen plus years into the 'emotional turn' in the study of contentious politics, the question is no longer 'do emotions matter' but rather 'do emotions ever not matter?' Or, stated positively, can we grasp the phenomena that we group together under the name of collective political action without paying attention to feelings, emotions, affect? As others have argued, the factors that social movement scholars deem important for mobilisation-e.g. political opportunities, organisations, frames-have force precisely because of the feelings that they elicit, stir up, amplify, or dampen. We turn towards emotion, then, in order to understand the workings of the key concepts in the field. In addition, we need to explore feelings because they often are a primary catalyst or hindrance to political mobilisation, attenuating the role of other factors. Then there are the many other aspects of collective political action, beyond the question of mobilisation per se, where emotions play important roles, from ideological struggles to alliance formation to activist rituals to collective identity formation to community building. So, again, are emotions ever unimportant, are they ever a simply trivial aspect of what happens in and around contentious politics? Historians of emotion might take the argument further. If, as Rosenwein argues, 'emotions are about things judged important to us',2if emotions are indications of what matters, of what is valued and devalued, how can scholars interested in any aspect of social life not consider emotions?

BACKGROUND: Monitoring results showing poor hand hygiene compliance in a major, busy emergency department prompted a quality improvement initiative to improve hand hygiene compliance. PURPOSE: To identify, remove, and reduce barriers to hand hygiene compliance in an emergency department. METHODS: A barrier identification tool was used to identify key barriers and opportunities associated with hand hygiene compliance. Hand hygiene imperatives were developed and agreed on with clinicians, and a framework for monitoring and improving hand hygiene compliance was developed. RESULTS: Barriers to compliance were ambiguity about when to clean hands, the pace and urgency of work in some areas of the department, which left little time for hand hygiene and environmental and operational issues. Sore hands were a problem for some staff. Expectations of compliance were agreed on with staff, and changes were made to remove barriers. A monitoring tool was designed to monitor progress. Gradual improvement occurred in all areas, except in emergency situations, which require further improvement work. CONCLUSIONS: The context of care and barriers to compliance should be reflected in hand hygiene expectations and monitoring. In the emergency department, the requirement to deliver urgent live-saving care can supersede conventional hand hygiene expectations.